GEORGETTE MODULE 1 AND 2 FINAL
EXAMINATION TEST PAPER 2026 FULL
ANSWERS GRADED A+
⩥ Lithium toxicity level. Answer: greater than or equal to 1.5
⩥ what is the gold standard for treating manic episodes?. Answer:
Lithium
⩥ What drug has evidence of anti-suicidal effects for bipolar disorder?.
Answer: Lithium
⩥ baseline labs to collect in order to R/O medical diagnoses prior to
giving Lithium. Answer: TSH (r/o bipolar)
Creatinine (0.6-1.2)
BUN (10-20)
Pregnancy test
ECG if greater than 50 (inverted T-waves)
⩥ All psychotropics should have what test prior to giving for child-
bearing age?. Answer: pregnancy test
⩥ what is considered child-bearing age?. Answer: 12-51
,⩥ SE of Lithium? (endocrine). Answer: HYPOthyroidism
⩥ SE of Lithium? (CNS). Answer: **course hand tremors w/ toxicity
⩥ SE of Lithium? (dermatological). Answer: Maculopapular rash
⩥ SE of Lithium? (GI). Answer: diarrhea, vomiting, cramp, anorexia
**imp. because these become severe w/ toxicity
⩥ SE of Lithium? (Renal). Answer: diabetes insipidus (polyuria r/t
polydipsia)
⩥ SE of Lithium? (Cardiac). Answer: T-wave inversions
⩥ SE of Lithium? (Hematologic). Answer: leukocytosis (increased
WBC)
⩥ Hypertensive Crisis occurs when...... Answer: MAOIs are taken in
conjunction w/ foods containing TYRAMINE (dietary precursor of NE)
,⩥ Hypertensive crisis is _____-__________ and cannot be reversed
unless...... Answer: life-threatening & cannot be reversed unless more
MAO is produced by the body
⩥ Hypertensive crisis & death can occur when MAOIs are taken in
conjunction with which types of meds??. Answer: ***Meperidine
***Stimulants/other sympathomimetics
Decongestants/TCA/SGA/St. Johns Wort/L-tryptophan
⩥ Symptoms of Hypertensive crisis include. Answer: sudden explosive-
like HA in OCCIPITAL region
Fever**
⩥ Treatment of Hypertensive Crisis. Answer: 1. d/c offending agent
(MAOI)
2. administer PHENTOLAMINE
3. Stabilize fever
⩥ medication to reverse hypertensive crisis w/ MAOI?. Answer:
Phentolamine****
⩥ List of common MAOIs (don't need to memorize, just know what it
looks like). Answer: Isocarboxazid (Marplan)
Phenelzine (Nardil)
, Selegiline (Emsam)
Tranylcypromine (Parnate)
⩥ Teratogenic risks of common psych meds (Benzo, Carbamazepine,
Lithium, Depakote). Answer: Benzo: floppy baby & cleft palate
Carbamazepine: neural tube defect
Lithium: Epstein's anomaly & Congenital heart defects (esp. 1st
trimester)
Depakote: Neural tube defects (spec. spina bifida)
⩥ Lamicatal main SE. Answer: Steven Johnson's Syndrome*** (SE
below, KNOW)
- Fever**
- Sore throat (may feel like burning**
- Facial/tongue swelling**
- Skin sloughing***
- Prodromal HA, malaise, Arthralgia, painful mucous membranes may
occur BEFORE rash
⩥ Valproic Acid/Divalproex Sodium aka Depakote main SE. Answer:
Hepatotoxicity**
Pancreatitis**
EXAMINATION TEST PAPER 2026 FULL
ANSWERS GRADED A+
⩥ Lithium toxicity level. Answer: greater than or equal to 1.5
⩥ what is the gold standard for treating manic episodes?. Answer:
Lithium
⩥ What drug has evidence of anti-suicidal effects for bipolar disorder?.
Answer: Lithium
⩥ baseline labs to collect in order to R/O medical diagnoses prior to
giving Lithium. Answer: TSH (r/o bipolar)
Creatinine (0.6-1.2)
BUN (10-20)
Pregnancy test
ECG if greater than 50 (inverted T-waves)
⩥ All psychotropics should have what test prior to giving for child-
bearing age?. Answer: pregnancy test
⩥ what is considered child-bearing age?. Answer: 12-51
,⩥ SE of Lithium? (endocrine). Answer: HYPOthyroidism
⩥ SE of Lithium? (CNS). Answer: **course hand tremors w/ toxicity
⩥ SE of Lithium? (dermatological). Answer: Maculopapular rash
⩥ SE of Lithium? (GI). Answer: diarrhea, vomiting, cramp, anorexia
**imp. because these become severe w/ toxicity
⩥ SE of Lithium? (Renal). Answer: diabetes insipidus (polyuria r/t
polydipsia)
⩥ SE of Lithium? (Cardiac). Answer: T-wave inversions
⩥ SE of Lithium? (Hematologic). Answer: leukocytosis (increased
WBC)
⩥ Hypertensive Crisis occurs when...... Answer: MAOIs are taken in
conjunction w/ foods containing TYRAMINE (dietary precursor of NE)
,⩥ Hypertensive crisis is _____-__________ and cannot be reversed
unless...... Answer: life-threatening & cannot be reversed unless more
MAO is produced by the body
⩥ Hypertensive crisis & death can occur when MAOIs are taken in
conjunction with which types of meds??. Answer: ***Meperidine
***Stimulants/other sympathomimetics
Decongestants/TCA/SGA/St. Johns Wort/L-tryptophan
⩥ Symptoms of Hypertensive crisis include. Answer: sudden explosive-
like HA in OCCIPITAL region
Fever**
⩥ Treatment of Hypertensive Crisis. Answer: 1. d/c offending agent
(MAOI)
2. administer PHENTOLAMINE
3. Stabilize fever
⩥ medication to reverse hypertensive crisis w/ MAOI?. Answer:
Phentolamine****
⩥ List of common MAOIs (don't need to memorize, just know what it
looks like). Answer: Isocarboxazid (Marplan)
Phenelzine (Nardil)
, Selegiline (Emsam)
Tranylcypromine (Parnate)
⩥ Teratogenic risks of common psych meds (Benzo, Carbamazepine,
Lithium, Depakote). Answer: Benzo: floppy baby & cleft palate
Carbamazepine: neural tube defect
Lithium: Epstein's anomaly & Congenital heart defects (esp. 1st
trimester)
Depakote: Neural tube defects (spec. spina bifida)
⩥ Lamicatal main SE. Answer: Steven Johnson's Syndrome*** (SE
below, KNOW)
- Fever**
- Sore throat (may feel like burning**
- Facial/tongue swelling**
- Skin sloughing***
- Prodromal HA, malaise, Arthralgia, painful mucous membranes may
occur BEFORE rash
⩥ Valproic Acid/Divalproex Sodium aka Depakote main SE. Answer:
Hepatotoxicity**
Pancreatitis**
